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Re-examining Supplier-induced Demand in Health Care: Comparisons Among Patients Affiliated and Not Affiliated with Healthcare Professionals in China

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  • Si, Yafei
  • Zhou, Zhongliang
  • Su, Min
  • Hu, Han
  • Yang, Zesen
  • Chen, Xi

Abstract

Doing "more" in healthcare can be a major threat to the delivery of high-quality health care. This study used coarsened exact matching to test the hypothesis of supplier-induced demand (SID) by comparing health care utilization and expenditures between patients affiliated with healthcare professionals and their counterpart patients not affiliated with healthcare professionals. Using the China Labor-force Dynamics Survey (CLDS) in 2014, we identified 806 patients affiliated with healthcare professionals and 22,788 patients not affiliated with healthcare professionals. The matched outpatient proportion of patients not affiliated with healthcare professionals was 0.6% higher (p=.754) than that of their counterparts, and the matched inpatient proportion was 1.1% lower (p =.167). Patients not affiliated with healthcare professionals paid significantly more (680 CNY or 111 USD, p﹤.001) than their counterparts did per outpatient visit, while patients not affiliated with healthcare professionals paid insignificantly less (2,061 CNY or 336 USD, p=.751) than their counterparts did per inpatient visit. Our results lend support to the SID and highlight the need for policies to address the large outpatient care expenses for patients not affiliated with healthcare professionals. Our study also suggests that as the public becomes more informed, the demand of health care may persist while heath care expenditure per outpatient visit may decline sharply due to the weakened SID. To address misbehaviors and contain costs in health care provision, it is important to realign provider incentives.

Suggested Citation

  • Si, Yafei & Zhou, Zhongliang & Su, Min & Hu, Han & Yang, Zesen & Chen, Xi, 2020. "Re-examining Supplier-induced Demand in Health Care: Comparisons Among Patients Affiliated and Not Affiliated with Healthcare Professionals in China," GLO Discussion Paper Series 688, Global Labor Organization (GLO).
  • Handle: RePEc:zbw:glodps:688
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    1. Nash, John, 1953. "Two-Person Cooperative Games," Econometrica, Econometric Society, vol. 21(1), pages 128-140, April.
    2. Victor R. Fuchs, 1978. "The Supply of Surgeons and the Demand for Operations," NBER Chapters, in: The Economics of Physician and Patient Behavior, pages 35-56, National Bureau of Economic Research, Inc.
    3. Robert G. Evans, 1974. "Supplier-Induced Demand: Some Empirical Evidence and Implications," International Economic Association Series, in: Mark Perlman (ed.), The Economics of Health and Medical Care, chapter 10, pages 162-173, Palgrave Macmillan.
    4. Iacus, Stefano M. & King, Gary & Porro, Giuseppe, 2011. "Multivariate Matching Methods That Are Monotonic Imbalance Bounding," Journal of the American Statistical Association, American Statistical Association, vol. 106(493), pages 345-361.
    5. Louis F. Rossiter & Gail R. Wilensky, 1984. "Identification of Physician-Induced Demand," Journal of Human Resources, University of Wisconsin Press, vol. 19(2), pages 231-244.
    6. Jonathan Gruber & Maria Owings, 1996. "Physician Financial Incentives and Cesarean Section Delivery," RAND Journal of Economics, The RAND Corporation, vol. 27(1), pages 99-123, Spring.
    7. Dranove, David, 1988. "Demand Inducement and the Physician/Patient Relationship," Economic Inquiry, Western Economic Association International, vol. 26(2), pages 281-298, April.
    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    Supplier-induced Demand; Health Care Utilization; Healthcare Professionals; China;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • D82 - Microeconomics - - Information, Knowledge, and Uncertainty - - - Asymmetric and Private Information; Mechanism Design
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • D90 - Microeconomics - - Micro-Based Behavioral Economics - - - General

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